Organization
SOUTHEAST, INC
Active
Parent organization
SOUTHEAST, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST, INC
Authorized official
CHARLES TONG (CFO)
(614) 813-0177
Entity
Organization
Contact information
Practice address
950 MEADOW DR STE D, MOUNT GILEAD, OH 43338-1389
(419) 949-2000
(419) 751-7322
Mailing address
950 MEADOW DR STE D, MOUNT GILEAD, OH 43338-1389
(419) 949-2000
(419) 751-7322
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
01/16/2026
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